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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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[Contraception for transgender men: A case report and review].

Gynecologie, obstetrique, fertilite & senologie·2022
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Gynecologie, obstetrique, fertilite & senologie·2021
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Two year continuation rates of contraceptive methods in France: a cohort study from the French national health insurance database.

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[The contraception consultation: CNGOF Contraception Guidelines].

T Linet1

  • 1Service de gynécologie-obstétrique, centre hospitalier Loire Vendée Océan, boulevard Guérin, 85300 Challans, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|November 1, 2018
PubMed
Summary

Structured consultations improve contraceptive choice and persistence, leading to fewer unplanned pregnancies. Discussing effectiveness, risks, and side effects enhances patient satisfaction and adherence to birth control methods.

Keywords:
Aide à la décisionBERCERCommunication interpersonnelleConsultationContraceptionDecision aidGATHERInterpersonal communication

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Area of Science:

  • Reproductive Health
  • Evidence-Based Medicine
  • Patient Communication

Background:

  • Contraceptive counseling significantly impacts patient satisfaction and adherence.
  • Women's expectations regarding contraceptive information differ from those of healthcare providers.

Purpose of the Study:

  • To determine the optimal information delivery, consultation methods, physical examination protocols, and follow-up strategies for contraceptive visits.
  • To enhance patient satisfaction and persistence with chosen contraceptive methods.

Main Methods:

  • Systematic review of English and French evidence-based literature on contraception and contraceptive visits.
  • Utilized databases like PubMed and Cochrane, alongside international recommendations.

Main Results:

  • Structured consultations (e.g., GATHER) improve contraceptive choice and persistence.
  • Addressing women's key concerns (efficiency, risks, cost, duration, practicality) is crucial.
  • Effective communication, including discussing side effects and utilizing decision aids, enhances adherence.
  • Presenting contraception by effectiveness categories is more beneficial than using pregnancy numbers.

Conclusions:

  • Structured, patient-centered contraceptive counseling improves method choice, persistence, and reduces unplanned pregnancies.
  • Clear communication about contraceptive options, including risks and benefits, is essential for adherence.
  • While blood pressure measurement is recommended before estroprogestative contraception, specific guidelines for other physical exams and follow-up are lacking for women without risk factors.